MR. JOSHUA KELLER FNP-C - NPI 1730995523 - Nurse Practitioner in Chicago, IL

Q: What is Joshua Keller's NPI number?

The NPI number for Joshua Keller is 1730995523. It was assigned to this individual provider in the NPPES registry on December 5, 2024.

Q: What is Joshua Keller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Keller was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Mr. Joshua Keller Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOSHUA KELLER FNP-C (NPI 1730995523) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.031251) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1730995523

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. JOSHUA KELLERCredential: FNP-C

Location Address2868 N BROADWAY STChicago, IL 60657-6017

Mailing Address904 W Grace St Apt 1Chicago, IL 60613-6473 · (701) 520-1942

Phone(773) 569-3525

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateDecember 5, 2024

Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration

NPPES CertifiedMarch 26, 2025

✔ NPI 1730995523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209.031251

2868 N BROADWAY ST, Chicago, IL 60657

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Secondary Practice Location 1

Location 1904 W Grace St Apt 1Chicago, IL 60613-6473 · Phone (701) 520-1942

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Joshua Keller Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921506767

PECOS Enrollment IDI20250811002167

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60657 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLGA BREZDEN

Nurse Practitioner (Family)